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Individual

INKWIY KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1064 E MAIN ST, SUITE 302, MERIDEN, CT 06450-4898
(203) 235-3345
(203) 235-5658
Mailing address
1064 E MAIN ST, SUITE 302, MERIDEN, CT 06450-4898
(203) 235-3345
(203) 235-5658

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
018027
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001180272
CT
01
010018027CT01
ANTHEM
CT
01
0180275663
CONNECTICARE
CT
01
060864650
UNITED HEALTHCARE
CT
01
4539436
AETNA
CT
01
ORO204
HEALTHNET
CT
01
P381429
OXFORD
CT
Enumeration date
07/06/2006
Last updated
01/13/2012
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